Dermatology Assoc of Macomb Oakland PC
NPI 1417058116 · Specialist · Warren, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology Assoc of Macomb Oakland PC is a Specialist organization in Warren, MI (NPI 1417058116).
Provider details
- NPI number
- 1417058116
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Joseph Kaufman, President(586) 751-2520
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2013-05-29
Frequently asked questions
- What is Dermatology Assoc of Macomb Oakland PC's NPI number?
- Dermatology Assoc of Macomb Oakland PC's National Provider Identifier (NPI) is 1417058116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology Assoc of Macomb Oakland PC?
- Dermatology Assoc of Macomb Oakland PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Dermatology Assoc of Macomb Oakland PC located?
- Dermatology Assoc of Macomb Oakland PC's practice location on file with NPPES is 11250 E 13 Mile Rd, Warren, MI 48093-2597.
- What is Dermatology Assoc of Macomb Oakland PC's phone number?
- The practice phone number listed in the NPPES registry for Dermatology Assoc of Macomb Oakland PC is (586) 751-2520.
- Does Dermatology Assoc of Macomb Oakland PC accept Medicare?
- Dermatology Assoc of Macomb Oakland PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dermatology Assoc of Macomb Oakland PC?
- The authorized official listed on Dermatology Assoc of Macomb Oakland PC's NPPES record is Joseph Kaufman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology Assoc of Macomb Oakland PC's NPI active?
- Yes — Dermatology Assoc of Macomb Oakland PC's NPI (1417058116) is active in the NPPES registry as of the last update on 2013-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.